| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $57.54 | $104.71 | $181.97 | |
Medcost
| Professional | $34.67 | $45.71 | $53.70 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |
New Outpt L1 Prob Foc H&E Strtfwd
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $57.54 | $104.71 | $181.97 | |
Medcost
| Professional | $34.67 | $45.71 | $53.70 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |